02U307Z ICD-10-PCS Code: Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Open Approach

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

• MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

02U007Z — Supplement Coronary Artery, One Artery with Autologous Tissue Substitute, Open Approach, 02U107Z — Supplement Coronary Artery, Two Arteries with Autologous Tissue Substitute, Open Approach, 02U207Z — Supplement Coronary Artery, Three Arteries with Autologous Tissue Substitute, Open Approach, 02U507Z — Supplement Atrial Septum with Autologous Tissue Substitute, Open Approach, 02U607Z — Supplement Right Atrium with Autologous Tissue Substitute, Open Approach, 02U707Z — Supplement Left Atrium with Autologous Tissue Substitute, Open Approach, 02U907Z — Supplement Chordae Tendineae with Autologous Tissue Substitute, Open Approach, 02UA07Z — Supplement Heart with Autologous Tissue Substitute, Open Approach, +17 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

02U337Z — Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Approach, 02U347Z — Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

02U308Z — Supplement Coronary Artery, Four or More Arteries with Zooplastic Tissue, Open Approach, 02U30JZ — Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach, 02U30KZ — Supplement Coronary Artery, Four or More Arteries with Nonautologous Tissue Substitute, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Other coronary artery procedures (excluding CABG and PCI) (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

02H34YZ — Insertion of Other Device into Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach, 02N00ZZ — Release Coronary Artery, One Artery, Open Approach, 02N04ZZ — Release Coronary Artery, One Artery, Percutaneous Endoscopic Approach, 02N10ZZ — Release Coronary Artery, Two Arteries, Open Approach, 02N14ZZ — Release Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach, 02N20ZZ — Release Coronary Artery, Three Arteries, Open Approach, 02N24ZZ — Release Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach, 02N30ZZ — Release Coronary Artery, Four or More Arteries, Open Approach, 02N34ZZ — Release Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach, 02Q00ZZ — Repair Coronary Artery, One Artery, Open Approach, 02Q04ZZ — Repair Coronary Artery, One Artery, Percutaneous Endoscopic Approach, 02Q10ZZ — Repair Coronary Artery, Two Arteries, Open Approach, 02Q14ZZ — Repair Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach, 02Q20ZZ — Repair Coronary Artery, Three Arteries, Open Approach, 02Q24ZZ — Repair Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach, 02Q30ZZ — Repair Coronary Artery, Four or More Arteries, Open Approach, 02Q34ZZ — Repair Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach, 02S00ZZ — Reposition Coronary Artery, One Artery, Open Approach, 02S10ZZ — Reposition Coronary Artery, Two Arteries, Open Approach, X2U4079 — Supplement Coronary Artery/Arteries with Vein Graft Extraluminal Support Device(s), Open Approach, New Technology Group 9, +191 more

Contextual Map

Every relationship of 02U307Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 02U307Z with these 5 related codes in Claim Check

PCS table

• 02U[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Heart and Great Vessels — Body System: Heart and Great Vessels[Body System]: “Heart and Great Vessels”— CMS ICD-10-PCS tables
• Supplement — Operation: Supplement[Operation]: “Supplement”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• CAR005 — Other coronary artery procedures (excluding CABG and PCI)[CCSR category]: “Other coronary artery procedures (excluding CABG and PCI) — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (8238)

• MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
• MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
• A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 8233 more

Nearest codes

• 02U007Z — Supplement Coronary Artery, One Artery with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U107Z — Supplement Coronary Artery, Two Arteries with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U207Z — Supplement Coronary Artery, Three Arteries with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U308Z — Supplement Coronary Artery, Four or More Arteries with Zooplastic Tissue, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U30JZ — Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U30KZ — Supplement Coronary Artery, Four or More Arteries with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 02U337Z — Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 02U347Z — Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables